HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABL IN FOjM U T BE COMPILEtu FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: JCoO ToICK4
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Addition ;-
--PROPOSED IMPROVEMENT LOCATION:
Address: 11122 Orange Avenue, Ft Pierce, FL
Legal Description: 9 35 39 From SE Cor of E 1/2 of W 1/2 of SW 1/4 of NE 1/4 RUN N TO R/W CANAL #45 FOR POB,
TH CONT N 600 FT, TH W 150 FT, TH S 600 FT, TH E 150 FT TO POB (2.07 AC) (OR 3258-2017)
Property Tax ID #: 2309-133-0004-000-1 Lot No.
Site Plan Name: Block No.
Project Name: BUSH RESIDENCE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
DEMOLISH EXISTING CARPORT AND FRAMED ADDITION. CONSTRUCT NEW CARPORT
AND ADDITION IN ITS. PLACE PER PLANS. INSTALL NEW ROOFING ON ENTIRE. RESIDENCE
PER PLAN.
CONSTRUCTION INFORMATION:
-AWi
Iona work o be ertormed underthis permit- check all apply:
9HVAC Gas Tank ❑Gas Piping Shutters ✓�
_ Windows/Doors
R] Electric 0 Plumbing Sprinklers E R]
Generator Roof
Total Sq. Ft of Construction: 974 SF S . Ft. of First Floor: 2642
Cost of Construction: $ 35,356.00 Utilities:cnSewer OSeptic Building Height: 8715'
OWNER/LESSEE:
CONTRACTOR:
NameGLEN AND CHRISTA BUSH
Name: MICHAEL CASON
Address:11122 ORANGE AVENUE
Company: CASON CONSTRUCTION COMPANY
Address: 2300 RUTLEDGE AVENUE
City: FT PIERCE State:FL
Zip Code: 33408 Fax:
City: ORLANDO State: FL
Phone No.561.313.7247
Zip Code: 32817 Fax:
E-Mail:LIVEHUMBLE@GMAIL.COM
Phone No. 772.579.9383
E-Mail: MCASON13@HOTMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CGC1521714
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
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SUPPLEMENTAL CONSTRUCTI.O N LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: PAUL WELCH
Name:
Address:1984 SW BILTMORE ST, SUITE 114
Address:
City: PORTSTLUCIE State: FL
City: State:
Zip: Phone: 772.785.9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in Home Owners Association bylaws
which conflict with any applicable rules, or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
Signature of Contractor/License Holder
STATE OF FLO A
STATE OF FLOR 14,
COUNTY OF , X Q C �K
COUNTY OF 7A7- `fie! A k
The for mg instr me t was acknowledged before me
}�by
The rgoing instru ent was acknowledged before me
l
this day of 20
this day of 20 by
1
'
(Name'of person acknowledging)
(Name of person acknowledging)
(Signature of No Public- State of Florid )
(Signature of N ry Public- State of Florid
Personally Known OR Produced Identification
Personally Known �OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. eal : - •
Commission No.
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